Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ML20008996 | WA |
N | 208600000X | Surgeon | ML20008996 | WA |
Y | 2086S0105X | Surgery of the Hand | MD60180835 | WA |
N | 2086S0122X | Plastic and Reconstructive Surgery | MD60180835 | WA |
NPI | 1629268255 |
---|---|
Provider Name | Kate A Kuhlman-Wood |
First Address | Coeur D Alene, ID 83814 |
Second Address | Coeur D Alene, ID 83814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2007 |
Last Update Date | 28/07/2014 |